HomeMy WebLinkAbout246848 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 154252
d ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********93.19*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 246848
� TON GO
INDIANAPOLIS IN 46278 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01294175 93.19 OTHER EXPENSES
ITEM tM I SHIP- Bo DESOR PTiON i UO11 FRNCE AMOUNT
** Location: A **
AC 75/25 1 0 1 1 ARGON,CARBON DIOXIDE 75/25 384CF CYL 84.285 84.29
INDUSTRIAL GAS MIX CGA580
384CF @ 21.9492/100CF
FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 2.95 2.95
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE I EA 5.95 5.95
I
Subtotal 93.19
I I I I
TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1
visit us on face book) or of the
web,� at www.indianaoxygen.com
I
i
Taxable amount: 0.00
CARMEL WATER CUSTOMER: 12598 93.19
3450 W 131ST ST INVOICE: 01294175
CARMEL IN 46074-8267 INVOICE DATE: 06/05/15
ORDER: 02151902-00 P/O: ALEX BROWN
INDIANA OXYGEN COMPANY P.O. BOY 78588• INDIANAPOLIS, IN • 46278-0588
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 6/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/23/2015 01294175 $93.19
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
LAv1S
Date Officer
I
VOUCHER # 152206 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
01294175 01-6200-06 $93.19
Voucher Total $93.19
Cost distribution ledger classification if
claim paid under vehicle highway fund